Question

A 45-year-old woman presents with a 6-month history of fatigue, weight gain (5kg), constipation, and feeling cold. Her thyroid function tests show: TSH 15.2 mU/L (0.4-4.0), Free T4 7.5 pmol/L (10-22). What is the most appropriate initial management?

Accepted Answer

Start levothyroxine 50 mcg OD

Answer

Start levothyroxine 25 mcg OD

Answer

Start levothyroxine 100 mcg OD

Answer

Repeat TFTs in 3 months before considering treatment

Answer

Refer to an endocrinologist

Practice question

A 45-year-old woman presents with a 6-month history of fatigue, weight gain (5kg), constipation, and feeling cold. Her thyroid function tests show: TSH 15.2 mU/L (0.4-4.0), Free T4 7.5 pmol/L (10-22). What is the most appropriate initial management?